Individual provider Active NPI

Kathleen Allen, O.D.

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1902658685
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5680 Issued in MA
Practice address
1276 Massachusetts Ave
Cambridge, MA 02138-3827
Phone
(617) 868-1500
NPI assigned
Apr 4, 2024
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5680 MA Primary

Addresses

Primary practice location

1276 Massachusetts Ave
Cambridge, MA 02138-3827

Mailing address

1276 Massachusetts Ave
Cambridge, MA 02138-3827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240501002619 MA Practitioner - Optometry 4385084805 Reassigns benefits to 1 organization
I20250103001704 FL Practitioner - Optometry 4385084805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
May accept Medicare assignment
Group practices
2020 Florida, PAGroup PAC ID 1254770522, 3 clinicians
2020, IncGroup PAC ID 4880947332, 3 clinicians

Practice addresses (Care Compare)

1181 NW 101St Ave
Plantation, FL 33322-6514
Phone (877) 235-5317

29 Garden St
Everett, MA 02149-4510
Phone (617) 356-8117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5680MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020, Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients
2020 Florida, PA Optometrist CurrentSince Dec 20, 2024 Accepting new patients
See Inc Optometrist Past Accepting new patients

Locations

29 Garden St
Everett, MA 02149
Phone (617) 356-8117

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1902658685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383827",
            "telephone_number": "617-868-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.